The infirmarer (or server of the
sick) was the monastic official (obedientiary)
in charge of the abbey’s infirmary, where he oversaw the
care of the sick and those recuperating after bloodletting,
as well as any elderly members of the community, who were unable
to observe the full rigours
of the monastic life. The infirmarer’s office was an important
and prestigious post.
The infirmarer of the abbey at
first slept in the common dormitory with the rest of the community,
but later
on he may have had his
own house within or near to the infirmary complex. In the thirteenth
century the infirmarer at Roche seemingly
had his own lodgings beside the abbot’s house.(1) The infirmarer
acted first and foremost as an intermediary between the infirmary
and the cloister.
Whenever a monk was received in the infirmary it was the infirmarer’s
responsibility to transfer his utensils from the refectory and
his bedding from the dormitory - which he then replaced when the
monk returned to choir – and to fetch the sick monk’s
allowance of food and drink from the cellarer each
day. The infirmarer borrowed books required for services in the
infirmary chapel from
the abbey church and ensured that these, and any other books, were
returned safely. He notified the infirm of any matters of importance
that had been raised at the daily chapter meeting, and alerted
the community of an inmate who was about to die, so that the brethren
could make appropriate provision for his soul.
Whenever one of
the inmates of the infirmary was ready to rejoin the community,
the infirmarer sought authorisation from the abbot
for his return to the cloister.
The infirmarer was responsible
for the overall management of the infirmary complex. He alone was
allowed to speak to the inmates,
but was to do so quietly and in designated areas. This was not
to be an excuse for gossip! His duties within the infirmary included
making sure that the fire was lit, lighting the candles for Matins,
cleaning the bowls that had been used at bloodletting and
disposing of the blood. On Saturdays he washed the feet of those
who resided
in the infirmary – if they so wished – and shook their
clothing.
In contrast, a rather exceptional entry
in the Coucher Book of Kirkstall is a recipe for the prevention
of falling sickness which prescribes that the charm, Dealbagneth,
Debagneth, Degluthun should be recited whilst making the sign
of the Cross.
Chapter 116 of the twelfth-century
customary of the Order (Ecclesiastica Officia) discusses
the infirmarer’s managerial
duties in some detail, but says little of his medical knowledge.
However,
it is likely that he – and no doubt others in the community – was
well-versed in herbal remedies and administered herbs grown at
the abbey. The infirmarer may well have had access to medical works.
Surviving manuscripts and library catalogues suggest that the Cistercians
in England owned works by ancient and contemporary medical authorities,
as well as more traditional works such as herbals. For example,
a thirteenth-century manuscript from Kirkstall
Abbey contains a
copy of the Medulla Philosophorum, a miscellany of tracts
that includes explanations of various herbs and plants, as well
as passages
on indigestion, digestion and blood.(2)